HomeMy WebLinkAboutPermit Mechanical 2010-5-14
City Of Springfield
225 Fifth 81.
Springfield, OR 97477
Phone: 541-726-3753
Emal1: pe rmitce nter@ci.springfield,or. ~s
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00097
Approval Code: 614659 5/14/2010 8:56 am
E~mailed To: wvosburg@automaticheatco.com
o New Construction
',-'""CATEGQBY OF CONSTRUcffbN:~:~-;.
00 1 or 2 family dwelling 0 MulMamily 0 Commercial
;"';;'z .~_'._ 7;- JOBSITE'lNFORMATjON ANi:j;hoCATION;;
Job Address: 1519 OELROSE AVE
City/State/ZIP: SPRINGFIELD, OR 97477
Suitelbldg./apt.no.:
Project Name: weber
Cross Street/directions to job site:
Tax map/parcel no.:
1703243306200
3 zone mini split
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, :SITE"CONTACT.
Name: Michael Schillino
Phone: 541-726-7656
Fax: 541-726-7657
Email:
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, CONTRACTOR- ,
eea lie. no.: 188592
Business Name: EUGENE HEATING INC
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Contact:
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Add'"'' 3575 '/; R THIS PERMlrlSNOT t:.
C;lyIStateIZIP, ES'8~~Wft~~CE@ OR IS ABANDONED F
Phone'5417257UN 180 DAY PERI
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: 5417267657
Email: mschilling@automaticheatco.com
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdlctign, your permit will be e-malled or. faxed
within one business day, with InstructIons on how to schedule your lnspecth,)n.
NOTE: this Authorization To Begin Worx expires within 180 days If a permIt Is not obtained.
The local building department may determine that an Authorization To BegIn Work Is null and
void If It does not meet applicable land use laws and local ordinances. .. . ,
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8eating(Co'olin-g"Appl.iances
Heat Pump
Air handling unit
MiiiimumF~es,_ 1
First Appliance Fee
Mechan.ic,al,P,erniitFees- ''':
Subtotal $130.00
$34.00
$79.00
State surcharge (12% of permit $15.60
tolal
Technology fee (5% of permit total)
$6.50
$152.10
TOTAL PERMIT FEE
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ATTENTION: Oregon law requires YOU,to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules br
calling the center. (Nole: the telephone
number for the Oregon Utility Notlflcallon
Center Is 1-800-332-2344).
Inspections .Phone: 541:.7.26.3769
This Authorization To Begin Wo~~'~~sTb~.~osted at1the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00606
ISSUED: 05/14/2010
APPLIED: 05/14/2010
EXPIRES: 11/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1519 DELROSE AVE
ASSESSOR'S PARCEL NO.: 1703243306200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: 3 zone mini split heati~'g: syste'riI in reside~ce.
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Residential
Owner: WEBER LAURA R TE
Address: 1519 DELROSE AVE
SPRINGFIELD OR 97477
IlY: .T .' i. t,1,
I CONTRACTOR INFORMA TION .
Contractor Type
Mechanical
Contractor License
EUGENE HEATING INC 188592
BUILDING INFORMATION ~
<'
Expiration Date Phone
541-726-7656
# of Units:
Primary Occupaucy Group:
Secondary Occupancy Group:
Primary Coustructiou Type
Secondary Construction Type:
# of Bedrooms:
. # of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
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Frontyard se~qlJ:CE: ""~':~~'Dist:
Side I Setbackl:1lS PERMIT SHAll EXPIRE IF TH , rees Rqd:
Side 2 Setback,JTHORIZED UNDER THIS PERMIT rive Rqd:
Rearyard Setbil~!\fVlENCED OR IS ABANDONED FQlbf Lot Coverage:
Solar Setbacks:w 180 DAY PERIOD.
REQUIRED PARKING,
ATTENTION: Oregon la~l!ulres you.~
follow rules adopted by1th900tagjMlUtllity
Notification Center. ThoS@"u1~Bdlre set forth
In OAR 952-001-0010 through OAR 952-001-
0090,. You may obtain copi~S ofthe rU~~eby
I PUBLIC IMPROVEMENTS lumber for the Oregon Utility Notification
,Center is 1-800-332-2344).
S,lIewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Downspouts/Drains:
Notes:
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I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
'Value
Date Calculated
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00606
ISSUED: 05/14/2010
APPLIED: 05/14/2010
EXPIRES: 11/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid,
$15.60ii!ii,'- ".
$6.50,Cj",
$79.0Q (..1
$34.00'1.,
$17.00
f-":-t
Date Paid
.5114110
5114/10
5/14/10
5/14/10
5/14/10
Receipt Number
1201000000000000452 '
1201000000000000452
1201000000000000452
1201000000000000452
1201000000000000452
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Total Amount Paid
$152.10
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day;iils'pections requested after 7:00 a.m. will be made the following
work day.
l ReQuired Inspections.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furth\~:~'certify-,dlat any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the La'ws of the State of Oregon pertaining to the work descrihed herein, aud
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
. ~ I ,
Date
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Paee 2 of 2
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
1201000000000000452
1I:15:3IAM
Date: 05/14/2010
Job/Journal Number
COM20 1 0-00606
COM20 1 0-00606
COM20 1 0-00606
COM20 1 0-00606
COM20 1 0-00606
Payments:
Type of Payment
ONLINE CHGS .
cReceintl
Description
15t Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
79.00
34.00
17.00
15.60
6.50
$152.10
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
$]52.10
KR
ONLINE
EUGENE Online
HEAT]NG
mc
Payment Total:
$152.10
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5/14/2010
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